Dr Lonnie Dale Penrod, MA, MSW, DMIN, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Indian Mound, Tennessee. His current practice location is
109 Rooster St, Indian Mound, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 980-4551.
Dr Lonnie Dale Penrod is licensed to practice in Tennessee (license number 6195) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053992214.
Healthcare Provider's Profile
Full Name | Dr Lonnie Dale Penrod |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 109 Rooster St, Indian Mound, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053992214
- Provider Enumeration Date: 04/19/2021
- Last Update Date: 04/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880077718
- Enrollment ID: I20220810001618
Medical Identifiers
Medical identifiers for Dr Lonnie Dale Penrod such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053992214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6195 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lonnie Dale Penrod is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lonnie Dale Penrod, MA, MSW, DMIN, LCSW 109 Rooster St, Indian Mound, TN 37079-5302 Ph: (931) 980-4551 | Dr Lonnie Dale Penrod, MA, MSW, DMIN, LCSW 109 Rooster St, Indian Mound, TN 37079-5302 Ph: (931) 980-4551 |
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